Individual
HAIDEE STAR BALLEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
817 COLLEGE ST # 3026, SPENCER, TN 38585-3436
(931) 946-2113
Mailing address
520 PHIFER MINE RD, SPENCER, TN 38585-4410
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
F12240857
TN
Other
Enumeration date
12/31/2024
Last updated
12/31/2024
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